T1L12 ventricular system Flashcards

1
Q

ventricular system overview

A

series of CSF filled interconnected spaces

continuous with the subarachnoid space and central canal

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2
Q

development of ventricles

A

lumen of neural tube becomes ventricles and central canal

ependymal layer lines ventricles and central canal

  • lumen expands at cranial end to form ventricles
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3
Q

lateral ventricles

A

very large, bilateral

formed of body, posterior horn, anterior horn, inferior horn s6/7

on a scan from above, they are in 4 places as c shaped

borders:
septum pellucidum seperates the 2
corpus callosum sits on roof
caudate nucleus sits in lateral wall
hippocamus sits in floor of inferior horn
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4
Q

interventricular foramen

A

lateral ventricles communicate with the third ventricle via interventricular foramen

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5
Q

third ventricle

A

slit like cleft between thalami
inferior and medial to lateral ventricles
borders:
fornix forms roof

big s12

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6
Q

cerebral aqueduct

A

third communicates with fourth through the cerebral aqueduct

surrounded by midbrain

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7
Q

fourth ventricle

A

surrounded by hindbrain:

  • cerebellum posterior
  • pons and medulla anterior
  • cerebellar peduncles lateral

rhomboid shape

continuous with the central canal of the spinal chord and the subarachnoid space

s15

communication: 3 foramen enter into subarachnoid space:
2 x foramen of luschka
1 x foramen of magendie

into cisterna magna
s17

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8
Q

choroid plexus

A
  • produces CSF
  • filters blood from internal carotid and basilar arteries
  • choroid plexus present throughout ventricles
  • present throughout ventricles

60% CSF produced in ventricles- other 40% at other sites

structure:
capillary network surrounded by cuboidal epithelium

  1. blood is filtered through fenestrated capillaries
  2. components transported through cuboidal epithelium into ventricles s20

tight gap junctions between epithelial cells prevents macromolecules from entering the csf

  • blood brain barrier
  • permeable to water and CO2

the cuboidal epithelium of the choroid plexus:

  • specialised
  • villi to increase SA
  • active transport to CSF
  • bidirectional (uptake metabolites to circulation)
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9
Q

CSF composition

A
  • different ion concs than plasma due to active transport
  • very few cells
  • ideal for functioning of neurons
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10
Q

CSF circulation flow

A
lateral ventricles
>intraventricular foramen>
third ventricle
>cerebral aqueduct
fourth ventricle
>luschka and magendie foramina
subarachnoid space

> > 1&2

1) down dorsal spinal subarachnoid space
up ventral spinal subarachnoid space

2) over cerebellum/cerebral hemispheres through subarachnoid space

into superior sagittal sinus via arachnoid granulations

s23/24

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11
Q

subarachnoid space

A

lies between pia and arachnoid
- follows contours of the brain

functionally important:
CSF in contact with brain parenchyma
- transfer micronutrients into brain and remove metabolites

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12
Q

arachnoid granulation

A

herniations of arachnoid membrane through dura mater into venous sinuses
- superior sagittal and transverse sinus s26

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13
Q

absorption of CSF

A

CSF pressure must exceed that in venous sinuses

if venous pressure > CSF pressure, the tips of the villi close off to prevent blood entering CSF

arachnoid villi are a one way valve

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14
Q

CSF volume

A

500ml per day

total 90-140 ml in system
- excess absorbed via arachnoid granulations

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15
Q

4 main functions of CSF

A
  1. hydraulic buffer to cushion brain against trauma
  2. vehicle for removal of metabolites from CSF
  3. stable ionic environment for neural function
  4. transport of neurotransmitters and chemicals
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16
Q

CSF colour in disease

A
  • normally a clear sterile fluid

yellow:
- subarachnoid haemorrhage

cloudy:
- MS (increase protein)
- bacterial meningitis (leukocyte^)

17
Q

CSF sampling

A
  • lumbar puncture

at lumbar cistern (beneath spinal chord)

18
Q

hydrocephalus

A
  • brain ventricle dilation
  • due to blocked CSF circulation, impaired absorption, over secretion

INCREASE INTRACRANIAL PRESSURE

pressure on surrounding tissues affects neurological function (headaches, visual disturbance, vomiting, seizures etc)

congenital or acquired

19
Q

non communicating hydrocephalus

A

blockage within ventricular system

  • tumour
  • cyst
  • stenosis (eg narrowing of cerebral aqueduct)

CSF does not circulate over surface of brain

surgery> insert shunt

20
Q

dandy walker syndrome

A
  • congenital malformation of cerebellum
  • non communicating hydrocephalus

obstruction within foramina of fourth ventricle
- symmetrical dilation of lateral/third/fourth ventricles

child’s head becomes enlarge in infancy

s36

21
Q

communicating hydrocephalus

A

obstruction in the arachnoid villi- no absorption

movement of CSF into venous sinuses is impeded

eg impaired absorption following subarachnoid haemorrhage, trauma or bacterial meningitis